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EP1200121B2 - Vaccin pour poisson - Google Patents

Vaccin pour poisson Download PDF

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Publication number
EP1200121B2
EP1200121B2 EP00949768A EP00949768A EP1200121B2 EP 1200121 B2 EP1200121 B2 EP 1200121B2 EP 00949768 A EP00949768 A EP 00949768A EP 00949768 A EP00949768 A EP 00949768A EP 1200121 B2 EP1200121 B2 EP 1200121B2
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EP
European Patent Office
Prior art keywords
protein
fish
damselae
composition according
outer membrane
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
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EP00949768A
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German (de)
English (en)
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EP1200121B1 (fr
EP1200121A2 (fr
Inventor
Andrew Cartner Barnes
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Novartis Pharma GmbH
Novartis AG
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Novartis Pharma GmbH Austria
Novartis AG
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Priority claimed from GBGB9918591.0A external-priority patent/GB9918591D0/en
Priority claimed from GBGB9923030.2A external-priority patent/GB9923030D0/en
Application filed by Novartis Pharma GmbH Austria, Novartis AG filed Critical Novartis Pharma GmbH Austria
Publication of EP1200121A2 publication Critical patent/EP1200121A2/fr
Publication of EP1200121B1 publication Critical patent/EP1200121B1/fr
Priority to CY20081101374T priority Critical patent/CY1108781T1/el
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K39/02—Bacterial antigens
    • A61K39/102—Pasteurellales, e.g. Actinobacillus, Pasteurella; Haemophilus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04—Antibacterial agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12—Antivirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00—Medicinal preparations containing antigens or antibodies
    • A61K2039/51—Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/52—Bacterial cells; Fungal cells; Protozoal cells
    • A61K2039/521—Bacterial cells; Fungal cells; Protozoal cells inactivated (killed)

Definitions

  • the present invention relates to novel compositions for use as vaccines and medicaments for the prophylactic treatment of fish for infection by bacterial organisms, and particularly for the protection of fish from infection by bacteria such as Photobacterium damselae subsp. piscicida.
  • Photobacterium damselae subsp piscicida formerly Photobacterium damsela subsp. piscicida was reclassified from, and formerly reported as Pasteurella piscicida and reallocated to the family vibrionaceae based on small subunit 16s ribosomal RNA homology (Gaulthier et al (1995) Int. J. Syst. Bacteriol. 45:139-144).
  • P. damselae causes serious fatal disease, commonly called pseudotuberculosis, in warm water marine fish infecting major organs and tissues resulting in characteristic lesions or pseudotubercles in the musculature.
  • Pasteurella haemolytica UK patent specification 8805253 W Donachie, UK
  • IROMPs have been exploited as protective antigens in successful vaccines.
  • these do not appear to be protective in P . damselae, ( Romalde & Magari-os (1997) Fish Vaccinology, Karger, Basel, Switzerland, pp167-177 ).
  • This lack of protection may reflect the strategy for infection by P. damselae.
  • P. damselae produces increased protease activity ( Bakopolous (1997) J. Fish Dis. 20: 297-305 ) and increased capsular polysaccharide.
  • Capsular polysaccharide increases resistance to serum killing and prevents phagocytosis by host macrophages ( Arijo et al. (1998) Fish Shellfish Immunol. 8: 63-72 .). This is significant as P. damselae is not resistant to attack by phagocytes ( Skarmeta et al. (1995) Dis. Aquat. Org. 23:51-57 ) as a result of its lack of adaptive response to killing by reactive oxygen species produced during the macrophage respiratory burst ( Barnes et al. (1999) Microbiology 145: 483-495 ). However, the increased proteolytic activity is able to free iron in the form of haem through red blood cell lysis.
  • a vaccine and/or therapeutic composition comprising biological material derived from a culture of Photobacterium damselae, characterised in that the bacterial cells have been cultured in a culture medium containing excess iron over that which is required for normal growth of the bacterium.
  • the culture medium should contain at least twice the amount of iron in standard tryptone soya broth (Oxoid).
  • the culture medium contains between 0.5 ⁇ M and 1mM iron.
  • the medium contains between 10 ⁇ M and 500 ⁇ M iron.
  • the medium contains between 25 ⁇ M and 500 ⁇ M iron.
  • an outermembrane protein which may be involved in entry into host cells or invasin or adhesin is expressed at levels higher than those in normal culture medium.
  • Normal expression levels are levels of expression in standard tryptone soya broth (Oxoid).
  • an extracellular protein serologically related to invasin is expressed at higher levels than in normal culture.
  • a 55Kda extracellular protein complex and/or a 97Kda outermembrane protein is expressed at levels higher than those in normal culture medium.
  • the invention also provides purified proteins as described for use as vaccines or in the preparation of vaccines.
  • the invention also provides antibodies to the purified proteins.
  • the invention also provides a method for production wherein the cells are cultured in a culture medium containing sufficient iron such that the cells are loaded up with iron to the point where linear uptake of iron from the culture medium no longer occurs.
  • the cells are saturated with iron.
  • iron is supplied to the medium in the form of a ferric salt.
  • bacteria Preferably have been inactivated after culture.
  • the inactivation is carried out using a formaldehyde composition.
  • the invention further provides cells or cell membranes or extracellular products of the cultured bacteria.
  • the biological material is preferably provided in a physiologically acceptable carrier.
  • composition of the invention preferably includes an adjuvant suitable for enhancing immunological response.
  • a vaccine composition is thus provided for the prophylactic and/or therapeutic treatment of fish for infection by bacteria, particularly by the organism Photobacterium damelae subsp. piscicida.
  • the composition comprises components produced by a culture of the organism.
  • the culture is treated to kill the organism prior to use, preferably by treatment with formalin after components have been produced.
  • the invention thus also provides antibodies.
  • the biological material is derived from the culture of Photobacterium damselae strain MT1415 deposited under Accession No 41062 on 4 August 2000 at N.C.I.M.B. in Aberdeen, United Kingdom.
  • the present inventor has determined that a protein (invasin or adhesin) expressed in the outer membrane under iron replete conditions is involved with internalisation of P. damselae by Sea Bass Fibroblastic Cells.
  • Lectins which specifically bind this protein inhibit the invasive capacity of P. damselae, whilst lectins which do not bind the protein do not significantly inhibit invasion of Sea Bass Larval fibroblast cell lines (SBLs).
  • SBLs Sea Bass Larval fibroblast cell lines
  • EPCs fish epithelial cells
  • the expression of this protein can be increased by addition of ferric iron in the form of ferric chloride, to the growth medium.
  • addition of one hundred micromolar (100 ⁇ M) ferric chloride increases expression of the protein by at least 2.6 fold.
  • Bacterins produced by growing P. damselae under such iron supplementation are protective against clinical pasteurellosis in rainbow trout and juvenile sea bream.
  • Iron may be supplied to the culture medium in any form that results in its uptake by the bacterial cells in such a manner that increase of the invasin results.
  • Other culture conditions may also increase expression of this protein. For example more may be expressed under anaerobiosis in the presence of sufficient iron.
  • higher cell densities are achieved by growing the bacteria between 22°C and 35°C with continous shaking, or other aeration, to maintain the oxygen content.
  • the vaccine cells of the invention are inactivated by any standard method, but conveniently by use of formaldehyde. Further preparation of the vaccine such as addition of an adjuvant, concentration of the cells, or resuspension into an acceptable carrier may afford additional protection.
  • Figure 1 Shows a histogram of relative percent survival (RPS) vs vaccine treatment for rainbow trout challenged with organisms of genus Photobacterium.
  • FIG. 2 Shows a histogram of RPS vs vaccine treatment for gilthead seabream (Sparus aurata) challenged with organisms of genus Photobacterium.
  • FIG 3 Shows a Western blot of P. damselae outer membrane proteins (OMP, lanes 2,4,6,8) and extracellular products (ECP, lanes 3,5,7,9) stained with aurodye (for protein, lanes 1-5) and sea bass vs iron-supplemented P. damselae (lanes 6-9), Clearly showing 97KDa protein (lane 8) and 55Kda protein complex (lanes 7, 9) .
  • OMP outer membrane proteins
  • ECP extracellular products
  • FIG. 4 Shows percentage of EPC cells with at least one intracellular P. damselea preincubated with 2) normal sea bass serum or 3) sea bass vs P. damselae invasin antiserum with 1) control.
  • FIG. 5 Shows invasion of EPC/SBL cells by P. damselae incubated with various lectins, relative to controls not previously incubated with lectins.
  • FIG. 6 Shows Western blot of P. damselae OMPs produced under iron supplemented conditions, probed with Lectins and sea bass vs P. damselae antiserum and rabbit anti 55KDa complex.Lanes: 1) rabbit vs 55KDa complex antibody; 2) bass vs MT1415 antibody 3) biotinylated dolichos biflorus agglutinin; 4) biotinylated Concanavalin A lectin; 5) Sigma biotinylated molecular weight markers.
  • Figure 7 shows Western blot, stained with Sea Bass vs Photobacterium damselae antibody, of Outer membrane proteins from vaccine preparations showing absence of 55KDa complex in iron depleted culture (Vaccine B), compared to iron supplemented culture (Vaccine A).
  • FIG 8 shows relative percent survival (RPS) of Sea bass Dicentrarclus Labrax challenged with Photobacterium damselae subsp. piscicida following vaccination with either A)Vaccine expressing 55KDa complex and 97KDa OMP or B) Vaccine NOT expressing 55KDa complex or 97KDa OMP (see also Figure 7 ).
  • Example 1 Production of an invasin-expressing P. damselae vaccine
  • Tryptone soya broth (Oxoid) was made up in distilled water at 30g/l and sodium chloride was added at 20g/l in conical flasks such that the volume of the flask was five times the volume of the medium to allow for sufficent aeration. After sterilisation by autoclaving at 121 °C for 15 minutes, ferric chloride was added to a final concentration of 100 micromolar from a sterile stock of 100 millimolar in distilled water.
  • the broth was pre warmed to 25 °C and seeded with 1/10000th volume of an overnight tryptone soya broth culture, containing 2% salt, of Photobacterium damselae (strain MT1415, capsule positive virulent isolate as deposited under Accession No. 41062 on 4 August 2000 at N.C.I.M.B in Aberdeen, United Kingdom). Incubation was continued at 25 °C with shaking at 140 rpm for 40 hours. After incubation, the culture was inactivated by addition of 0.5% formalin v/v (0.2% free formaldehyde) and the broth was left at 25 °C for 24 hours to allow complete inactivation. The optical density of the final vaccine preparation was determined and the vaccine was stored at 4 °C until required.
  • sea bream, 0.3 g were immunised by single 60 second immersion in a tenfold dilution of the present invention or reference vaccine.
  • 500 degree days post vaccination fish were challenged by immersion in a suspension containing approximately 10 5 cfu/ml virulent P. damselae for 1 hour at 25 °C. Mortalities were recorded as described above. Results are given in Figure 2 : 1 , iron restricted vaccine; 2, TSB vaccine; 3, Iron-supplemented vaccine (invention).
  • Vaccine prepared as described above was used to immunise sea bass ( Dicentrarchus labrax ) by intraperitoneal injection. Freunds incomplete adjuvant was administered simultaneously at a ratio of 1:1. Fish were maintained in seawater at 25 °C for 20 days after which they received a second identical dose. After a further 20 days fish were bled and sera collected by allowing the blood to clot and removing the red blood cells by centrifugation. Sera were dialysed against phosphate buffered saline and stored frozen at -80 °C.
  • Outer membrane proteins (OMP) and extracellular products (ECP) were prepared from P. damselae grown under iron limitation, in standard TSB, or under iron supplementation.
  • OMP extracellular products
  • 2,2 dipyridyl (100 micromolar) was added to tryptone soya broth to chelate iron prior to inoculation with P. damselae. Incubation was then carried out as described above.
  • OMP was prepared by precipitation following sarkosyl solubilisation of the inner membrane (Hancock & Poxton (1988) Bacterial Cell Surface Techniques, John Wiley & Sons, Chichester, UK). Extracellular products were recovered from broth culture supernatants.
  • ECPs and OMP were run on SDS-PAGE gels under non-reducing conditions and blotted onto PVDF membrane.
  • Membranes were probed with bass vs iron-supplemented P. damselae , followed by mouse vs bass immunoglobulin monoclonal antibody previously described (Santos et al. (1997) Fish. Shellfish Immunol.7:175-191), followed by goat vs mouse conjugated with an alkaline phosphatase enzyme. To visualise bands, membranes were incubated in substrate consisting of Nitroblue tetrazoleum and 5-Bromo-4-chloro-3-indolyl phosphate. The results are shown in figure 3 and figure 7 .
  • P. damselae The ability of P. damselae to invade fish epithelial cells (EPC) was determined by a fluorescent labelling direct count method described by Bandin et al.(1995) Dis Aquat. Org. 23: 221-227 .
  • P. damselae cells were labelled using fluorescein isothiocyanate (FITC) (0.1mg/ml) for 1 hour.
  • FITC fluorescein isothiocyanate
  • P. damselae were then washed extensively in PBS and resuspended to a density of 10 9 cells /ml. The cell suspension was split and an aliquot incubated with heat inactivated immune serum prepared by heating sea bass vs iron-supplemented P.
  • Aliquots (10 microlitres) of serum treated P . damselae cells were added to 6 x 10 5 EPC cells in 1ml G-MEM, and allowed to attach and invade for 2 hours at 25 °C. External bacteria were removed by washing in PBS and EPCs were counter-stained with ethidium bromide. Aliquots (10 ⁇ l) were placed on glass slides and covered with a coverslip before analysis by fluorescent microscopy. Proportions of internalised bacteria were determined by direct counting at least 100 fields. Experiments were replicated four times.
  • P. damselae labelled with FITC
  • the 97 KDa OMP and the 55KDa ECP were carefully excised from polyacrylamide gels, homogenised and injected into sea bass. After 30 days, sera were collected and used to probe Western blots of OMPs and ECPs. Antisera raised in sea bass against the 97Kda OMP cross reacted with the 55Kda ECP. Similarly, Antibodies raised in sea bass against the 55Kda ECP also cross reacted with the 97KDa OMP. The inventor suggests that the 55Kda ECP is a secreted version of the 97Kda OMP.
  • the major antigenic protein is N-terminal blocked, consistant with glycosylation post transcription, and therefore unable to obtain a sequence, however this fraction has strong Haemagglutinating activity, suggesting probable involvement in internalisation.
  • a second protein gave an N-terminal amino acid sequence with 100% homology to ⁇ -1,4 N-acetyl muramidase, a defence against other bacteria: AMKRHGLDNYRGYSLGNWVC.
  • the third protein may be a fragment of a deaminase or catabolic dehydratase : NVVLHGDNFDSTXVXVKAV.
  • Vaccines expressing the 55KDa protein complex were prepared as follows: 500 ml Tryptone soya broth +2% NaCl (TSB2) containing 200 micromolar ferric chloride in a 2.5 1 Erlenmeyer flask was inoculated with a 0.01% v/v inoculum of an 18h TSB2 culture of Photobacterium damseale subsp. piscicida MT1415. The culture was grown with shaking at 140 rpm until late exponential growth phase (about 40 hours) at 24 °C.
  • TTB2 Tryptone soya broth +2% NaCl
  • the resulting culture was inactivated with formalin (final concentration 0.2%), and proteas.e was inactivated by adding Phenylmethylsulphonylfluoride (PMSF) to a final concentration of 100 micromolar from a 100 millimolar stock solution in isopropanol.
  • PMSF Phenylmethylsulphonylfluoride

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Claims (20)

  1. Composition comprenant un matériau biologique dérivé d'une culture de Photobacterium damselae caractérisée en ce que les cellules bactériennes ont été mises en culture dans un milieu de culture contenant au moins deux fois la quantité de fer contenue dans un bouillon Tryptone Soja standard, caractérisé en ce que ledit matériau biologique comprend une protéine de membrane externe d'environ 97kDa tel qu'estimé par SDS-PAGE dans des conditions non-réductrices qui est impliquée dans l'entrée dans les cellules hôtes et/ou une protéine extracellulaire d'environ 55kDa tel qu'estimé par SDS-PAGE dans des conditions non-rédactrices et caractérise en ce que la protéine est exprimés selon des taux qui équivalent au moins à deux fois le taux d'expression constaté dans un bouillon Tryptone Soja standard.
  2. Composition selon la revendication 1, caractérisée en ce que la protéine de membrane externe est l'invasine et/ou en ce que la protéine extracellulaire est sérologiquement apparentés à l'invasine.
  3. Composition selon la revendication 1, caractérisée en ce que la protéine de membrane externe est l'adhésine.
  4. Composition selon la revendications 1, caractérisée en ce que la protéine de membrane externe est une protéine de membrane externe de 97kDa.
  5. Composition selon la revendication 1, caractérisée en ce que la protéine extracellulaire est une protéine extracellulaire de 55kDa.
  6. Composition selon la revendication 5, caractérisée en ce que ledit matériau biologique comprenant ladite protéine de membrane externe d'environ 97 kna et ladite protéine extracellulaire d'environ 55 kDa est produite par la culture de Photobacterium damselae MT1415 déposé sous le numéro d'entrée 41062 auprès du NCIMB à Aberdeen, GB eten ce que la protéine extracellulaire de 55kDa est un complexe protéique extracellulaire comprenant: (i) une protéine bloquée au niveau du terminal N, (H) une protéine possédant une séquence AMKRHGLDNYRGYSLGNWVC (iii) une protéine possédant une séquence NVVLHGDNFDSTXVXVKAV.
  7. Composition selon la revendication 1, caractérisée en ce que ladite composition comprend une protéine de membrane externe de 97kDa et une protéine extracellulaire de 55kDa.
  8. Composition selon la revendication 1, caractérisée en ce que ladite composition consiste en une protéine de membrane externe de 97kDa et une protéine extracellulaire de 55kDa.
  9. Composition selon l'une quelconque des revendications 1-5, 7 et, caractérisée en ce que ladite composition comprend des composants produits par culture de Photobacterium damselae MT1415 déposé sous le numéro d'accès 41062 auprès de NCIMB à Aberdeen, GB.
  10. Utilisation d'une composition selon l'une quelconque des revendications 1 à 9 dans la fabrication d'un vaccin destiné au traitement prophylactique et/ou thérapeutique d'un poisson infecté par l'organisme Photobacterium damselae.
  11. Utilisation d'une composition selon la revendication 10 dans la fabrication d'un vaccin destiné au traitement prophylactique et/ou thérapeutique d'un poisson infecté par la sous-espèce piscicida de l'organisme Photobacterium damselae.
  12. Utilisation d'une composition selon la revendication 10 ou 11 pour le traitement prophylactique et/ou thérapeutique de la pseudotuberculose chez le poisson.
  13. Utilisation d'une composition selon l'une quelconque des revendications 10 à 12, caractérisée en ce que le poisson est un poisson d'eaux chaudes.
  14. Utilisation selon la revendications 13, caractérisée en ce que les espèces de poissons sont sélectionnées à partir de la truite arc-en-ciel, du spare tête-de-mouton ou du bar commun.
  15. Procède de préparation d'une composition selon l'une quelconque des revendications 1 à 9 utilisable dans un vaccin destiné au poisson comprenant: (i) la mise en culture de cellules de Photobacteria damselae dans un milieu de culture contenant au moins deux fois la quantité de fer contenue dans un bouillon Tryptone Soja standard et (ii) l'isolation d'une protéine de membrane externe de Photobacteria damselae qui est d'environ 97kDa tel qu'estimé par SDS-PAGE dans des conditions non-réductrices qui est impliquée dans l'entrée dans les cellules hôtes et/ou d'une protéine extracellulaire de Photobacterium damselae qui est d'environ 55kDa tel qu'estime par SDS-PAGE dans des conditions non-réductrices.
  16. Procédé selon la revendication 15, caractérisé en ce que lors de l'étape (ii) la protéine de membrane externe de 97kDa et/ou la protéine extracellulaire de 55kDa, est isolée lors de la préparation d'un vaccin destinée au traitement de poissons.
  17. Procédé selon la revendication 15 ou 16, caractérisé en ce qu'un adjuvant convenant à l'accroissement de la réponse immunologique est ajouté.
  18. Anticorps agissant à l'encontre d'une protéine de membrane externe de Photobacteria damselae qui est d'environ 97kDa tel qu'estimé par SDS-PAGE dans des conditions non-réductrices ou agissant à l'encontre d'une protéine extracellulaire de Photobacterium damselae qui est d'environ 55kDa tel qu'estimé par SDS-PAGE dans des conditions non-réductrices selon l'une quelconque des revendications 1 à 9.
  19. Composition destinée à la préparation d'un vaccin selon l'une quelconque des revendications 1 à 9 destinée au traitement prophylactique et/ou thérapeutique d'un poisson infecté par des bactéries.
  20. Composition destinée à la préparation d'un vaccin selon la revendication 19 comprenant également un adjuvant convenant à l'accroissement de la réponse immunologique.
EP00949768A 1999-08-07 2000-08-07 Vaccin pour poisson Expired - Lifetime EP1200121B2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CY20081101374T CY1108781T1 (el) 1999-08-07 2008-11-27 Εμβολιο ψαριων

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
GB9918591 1999-08-07
GBGB9918591.0A GB9918591D0 (en) 1999-08-07 1999-08-07 Composition
GBGB9923030.2A GB9923030D0 (en) 1999-09-30 1999-09-30 Composition
GB9923030 1999-09-30
PCT/GB2000/002973 WO2001010459A2 (fr) 1999-08-07 2000-08-07 Vaccin

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EP1200121A2 EP1200121A2 (fr) 2002-05-02
EP1200121B1 EP1200121B1 (fr) 2008-09-03
EP1200121B2 true EP1200121B2 (fr) 2012-05-09

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EP00949768A Expired - Lifetime EP1200121B2 (fr) 1999-08-07 2000-08-07 Vaccin pour poisson

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EP (1) EP1200121B2 (fr)
JP (2) JP4831905B2 (fr)
AT (1) ATE406911T1 (fr)
AU (1) AU6304000A (fr)
CY (1) CY1108781T1 (fr)
DE (1) DE60040153D1 (fr)
DK (1) DK1200121T3 (fr)
ES (1) ES2308987T5 (fr)
PT (1) PT1200121E (fr)
WO (1) WO2001010459A2 (fr)

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GB0317733D0 (en) 2003-07-29 2003-09-03 Novartis Ag Organic compounds
JP2006001849A (ja) * 2004-06-16 2006-01-05 Kochi Univ 魚類類結節症ワクチン
TW201422814A (zh) * 2012-09-10 2014-06-16 Univ Tokyo Nat Univ Corp 針對海產魚之類結節症之ｄｎａ疫苗

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DK1200121T3 (da) 2009-01-12
PT1200121E (pt) 2008-10-01
WO2001010459A3 (fr) 2001-05-10
DE60040153D1 (de) 2008-10-16
ES2308987T5 (es) 2012-08-30
EP1200121B1 (fr) 2008-09-03
JP2011207888A (ja) 2011-10-20
AU6304000A (en) 2001-03-05
ES2308987T3 (es) 2008-12-16
ATE406911T1 (de) 2008-09-15
WO2001010459A2 (fr) 2001-02-15
JP2003506412A (ja) 2003-02-18
CY1108781T1 (el) 2014-04-09
EP1200121A2 (fr) 2002-05-02
JP4831905B2 (ja) 2011-12-07

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